A comparative study of two different seevan karma of skin-Vellitaka and Tunnasevani in pain and healing process of Episiotomy as per REEDA scale and p value

Episiotomy wound suturing is considered only for good wound healing as only approximation is needed. But the discomfort, pain,infection ,scar formation ,fibrosis of tissue as it is dependent on how well the approximation is done.

example , lets consider the suturing technique used is Vellitaka for episiotomy skin , but as one sees , disadvantages -if there failure of any part of suture will result in loosing of whole length and chances of wound gaping is more and perineal area is loaded with bacteria as it may get infected by urine and stool.

-If there is tight suturing then redness and edema will be seen at wound site

Advantages

.

Well approximated wound with minimal tension

.

Rapid techinque for closure

.

Even distribution of tension over the suture line

if one uses subcutaneous suture (tunnasevani) technique for episiotomy skin then disadvantages - does not hold thin skin

Adavantages- there will be no space between suture and chances of infection may become less . And foe cosmatic purpose tunnasevani sutures are promptly in use scar is minimal in it .

in classical texts , detail discription suture types , materials ,knot techinque , post operative pain decressing tail,pichu is present millions of women undergo perineal suturing after child birth and type of repair may have an impact on pain and healing so in this study the suturing techinque used in episiotomy wound repair will be compared and analysis will be done for future practicability of it.